Chithandizo cha Hepatitis C: Kodi Ndingasankhe Chiyani?

Zamkati

• Kodi matenda a hepatitis C amapezeka bwanji?
• Chithandizo cha chiwindi cha pachimake C
• Chithandizo cha matenda otupa chiwindi a C
• Mankhwala
• Ma antivirals otsogolera (DAAs)
• Ribavirin
• Kuika chiwindi
• Kuyesa khansa ya chiwindi
• Kodi pali mankhwala ena alionse?
• Malangizo azaumoyo okhalira ndi chiwindi cha C
• Lankhulani ndi dokotala wanu

Kodi hepatitis C ndi chiyani?

Hepatitis C ndi matenda opatsirana kwambiri omwe angayambitse chiwindi. Mwina simukudziwa kuti muli ndi kachilombo komwe kamayambitsa matenda a chiwindi a C chifukwa matendawa nthawi zambiri samakhala ndi zisonyezo.

Kuchiritsidwa msanga kumatha kusintha. Pemphani kuti mudziwe zomwe mungachite mukalandira kachilombo ka hepatitis C (HCV).

Kodi matenda a hepatitis C amapezeka bwanji?

Kuti mudziwe ngati muli ndi hepatitis C, dokotala wanu adzakuyesani magazi. Yemwe amagwiritsidwa ntchito kwambiri amatchedwa mayeso a HCV antibody. Imafufuza ma antibodies a HCV. Ma antibodies ndi mapuloteni omwe amathandiza thupi lanu kulimbana ndi matenda.

Ngati mutapezeka kuti muli ndi ma antibodies a HCV, izi zikutanthauza kuti mwapezeka ndi kachilomboka. Komabe, mwina simungakhale ndi matenda opatsirana.

Gawo lotsatira ndikukhala ndi mayeso oyeserera a HCV RNA. Kuyesaku kumamuwuza dokotala kuchuluka kwa kachilombo komwe muli nako mthupi lanu, lomwe liziwonetsa ngati muli ndi kachilombo koyambitsa matenda.

Ngati mayeserowa akuwonetsa kuti muli ndi kachilombo koyambitsa matenda a HCV, dokotala wanu angayesenso mayeso ena otchedwa virus genotyping. Mayesowa amatha kuuza dokotala mtundu wa HCV womwe muli nawo. Chithandizo chomwe mungalandire chimadalira mtundu wa HCV womwe uli m'dongosolo lanu.

Chithandizo cha chiwindi cha pachimake C

Pali mitundu iwiri yayikulu yamatenda a hepatitis C: oyipa komanso osachiritsika. Matenda opatsirana a HCV ndiotenga nthawi yayitali, pomwe mawonekedwe owopsa ndi matenda achidule. Matenda opatsirana a HCV amapezeka mkati mwa miyezi isanu ndi umodzi yoyamba atakumana ndi kachilombo ka hepatitis C.

Malinga ndi a, pafupifupi 75% ya anthu omwe ali ndi HCV yovuta adzadwala HCV. Izi zikutanthauza kuti mpaka 25 peresenti ya anthu omwe ali ndi chiwindi cha chiwindi cha C adzawachira popanda chithandizo.

Pachifukwa ichi, ndipo chifukwa chithandizo cha HCV chingakhale chodula, madokotala nthawi zambiri samachiza HCV yovuta. Nthawi zambiri amayang'anira matenda opatsirana kuti awone ngati akupita patsogolo. Ngati matenda amayamba kukula, chithandizo chitha kuperekedwa nthawi imeneyo.

Chithandizo cha matenda otupa chiwindi a C

Popanda chithandizo, matenda otupa chiwindi a mtundu wa C amatha kupangitsa chiwindi kuwonongeka komanso zovuta zina. Chithandizochi chimakhala ndi mankhwala a HCV kapena opaleshoni.

Mankhwala

Masiku ano, mankhwala oyambira omwe amachiza matenda a hepatitis C amatchedwa antivirals (DAAs). Mankhwalawa nthawi zina amatha kugwiritsidwa ntchito limodzi ndi mankhwala a ribavirin.

Ma antivirals otsogolera (DAAs)

Ma DAA ndiye miyezo yosamalira matenda opatsirana a HCV. Mankhwala akumwawa afika pamsika kuyambira 2011 ndipo apezeka kuti amachiritsa anthu omwe amathandizidwa nawo. Kuphatikiza apo, poyerekeza ndi mankhwala akale monga ma interferon, amatha kuyambitsa zovuta zochepa.

Ma DAA ena amapezeka ngati mankhwala amtundu uliwonse, ndipo ambiri amapezeka ngati mankhwala osakanikirana. Mankhwala osakanizawa amakulolani kumwa mapiritsi ochepa tsiku lililonse. Mankhwala ophatikizana omwe alipo ndi awa:

• Epclusa (sofosbuvir / velpatasvir)
• Harvoni (ledipasvir / sofosbuvir)
• Mavyret (glecaprevir / pibrentasvir)
• Njira (ombitasvir / paritaprevir / ritonavir)
• Viekira Pak (dasabuvir + ombitasvir / paritaprevir / ritonavir)
• Vosevi (sofosbuvir / velpatasvir / voxilaprevir)
• Zepatier (elbasvir / grazoprevir)

Mankhwalawa amachiza matenda amtundu wa hepatitis C. Dotolo wanu akukulangizani zamankhwala abwino amtundu wa HCV.

Ribavirin

Ribavirin ndi mankhwala akale omwe amagwiritsidwabe ntchito nthawi zina. DAAs isanapezeke, ribavirin nthawi zambiri amapatsidwa kuti agwiritse ntchito ma interferon. Masiku ano, amagwiritsidwa ntchito limodzi ndi ma DAA ena kuti athetse matenda opatsirana a HCV (matenda omwe ndi ovuta kuwachiza). Ma DAA awa ndi Zepatier, Viekira Pak, Harvoni, ndi Technivie.

Ribavirin imabwera ngati kapisozi, piritsi, kapena yankho. Mitundu yamaina a ribavirin ndi awa:

• Copegus
• Moderiba
• Kubwezeretsa
• Ribasphere
• Ribasphere RibaPak

Kuika chiwindi

Pakakhala zovuta kwambiri za matenda a chiwindi a hepatitis C komanso pambuyo pake, kudwala chiwindi kungafunike. Njira yothandizirayi imagwiritsidwa ntchito ngati kachilomboka kamayambitsa chiwindi chachikulu chomwe chingayambitse chiwindi.

Pakumuika, ochita opaleshoni amachotsa chiwindi chanu chovulala ndikusintha ndi chiwalo chabwino kuchokera kwa woperekayo. Pambuyo pobzala, mudzapatsidwa mankhwala a nthawi yayitali kuti muthandize kuti zisamalire bwino.

Kuyesa khansa ya chiwindi

Kukhala ndi hepatitis C kumayika pachiwopsezo chachikulu cha khansa ya chiwindi. Chifukwa chake, monga gawo la chithandizo chanu cha hepatitis C, mungafunike kuyesedwa ngati muli ndi khansa ya chiwindi.

Pochita mayeso a ultrasound pachiwindi chanu chaka chilichonse, kapena nthawi zina kangapo miyezi isanu ndi umodzi, dokotala wanu amatha kuzindikira khansa ya chiwindi.

Kodi pali mankhwala ena alionse?

Pomwe anthu ena amakhulupirira kuti zitsamba zina zimatha kuthandiza chiwindi, akuti palibe njira zina zochiritsira matenda a hepatitis C.

Nthula yamkaka (silymarin) nthawi zina imalimbikitsidwa pochiza mavuto a chiwindi. Komabe, atsimikizira kuti nthula ya mkaka sinawonetsedwe kukhala yothandiza kwambiri kuposa placebo yothandizira matenda a chiwindi a C. Izi ndizowona ngati zitsamba zimatengedwa ngati makapisozi kapena zowonjezera.

Malangizo azaumoyo okhalira ndi chiwindi cha C

Chipatala cha Mayo chawona zosintha zina ndi zina pamoyo wanu zomwe mungachite kuti mukhale ndi thanzi labwino mukamachiza matenda a chiwindi a C. Akuti:

• Samalani ndi mankhwala anu. Mankhwala ena, ngakhale omwe dokotala amakupatsani, atha kukhala ndi vuto loyambitsa chiwindi. Ichi ndi chiopsezo chachikulu kwa anthu omwe ali ndi matenda a chiwindi a C .. Lankhulani ndi dokotala wanu ngati mungapewe mankhwala ena omwe mumamwa kapena omwe mumalemba.
• Pewani mowa. Kumwa zakumwa zoledzeretsa kungapangitse matenda a chiwindi kupita patsogolo mwachangu. Chifukwa chake, ndibwino kuti musamamwe mowa ngati muli ndi hepatitis C.

Lankhulani ndi dokotala wanu

Chithandizo ndi malingaliro a hepatitis C ndizosiyana kwambiri masiku ano kuposa momwe zidalili m'mbuyomu. Anthu ambiri akuchiritsidwa chifukwa cha ma DAA atsopano omwe akupezeka.

Ngati muli ndi chiwindi cha C kapena mungakhale pachiwopsezo chake, chinthu chabwino kuchita ndi kuwona dokotala wanu. Poyamba, akhoza kukuyesani ngati muli ndi kachilomboka. Ngati mukufuna chithandizo, atha kukuwuzani za mankhwala atsopano omwe alipo omwe ali ndi mitengo yabwino kwambiri yochizira matenda a chiwindi a C.

Pogwira ntchito ndi dokotala, mutha kupanga dongosolo lamankhwala lomwe lingakuthandizeni kusamalira, kapena kuchiza matenda anu a chiwindi a C.